MATHERS CLINIC LLC NPI 1821457714

NPI Information

  • NPI: 1821457714
  • Provider Name: MATHERS CLINIC, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • CLIA Number: 14D2029662
  • Address: 585 TOLLGATE RD
    ELGIN, IL
    ZIP 60123
  • Phone: (847) 462-6099

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NPI Details

MATHERS CLINIC, LLC is a community behavioral health in Elgin, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MATHERS CLINIC, LLC NPI is 1821457714. The provider is registered as an organization entity type.

The provider's business location address is:

585 TOLLGATE RD
ELGIN, IL
ZIP 60123-323
Phone: (847) 462-6099
Fax: (847) 628-6064

The provider's authorized official is Ramesh B Vemuri .
The authorized official title is Owner and has the following contact phone number (815) 444-9999.

The CLIA number assigned to this NPI record is 14D2029662 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2016 and was last updated on 1/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health036054365ILLINOISYes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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